HOSPICOM, INC. 401(K) PLAN
|
2023
|
202132662
|
2024-05-31
|
HOSPICOM, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
561490
|
Sponsor’s telephone number |
8452652155
|
Plan sponsor’s
address |
11 MAIN ST., COLD SPRING, NY, 10516
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2024-05-31 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
|
|
HOSPICOM, INC. 401(K) PLAN
|
2022
|
202132662
|
2023-08-01
|
HOSPICOM, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
561490
|
Sponsor’s telephone number |
8452652155
|
Plan sponsor’s
address |
11 MAIN ST., COLD SPRING, NY, 10516
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2023-08-01 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
|
|
HOSPICOM, INC. 401(K) PLAN
|
2021
|
202132662
|
2022-05-19
|
HOSPICOM, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
561490
|
Sponsor’s telephone number |
8452652155
|
Plan sponsor’s
address |
11 MAIN ST., COLD SPRING, NY, 10516
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2022-05-19 |
Name of individual signing |
TARA EVANS |
|
|
HOSPICOM, INC. 401(K) PLAN
|
2020
|
202132662
|
2021-09-17
|
HOSPICOM, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
561490
|
Sponsor’s telephone number |
8452652155
|
Plan sponsor’s
address |
11 MAIN ST., COLD SPRING, NY, 10516
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2021-09-17 |
Name of individual signing |
PHIL TISUE |
|
|
HOSPICOM, INC. DEFINED BENEFIT PLAN
|
2019
|
202132662
|
2020-10-14
|
HOSPICOM, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8452652155
|
Plan sponsor’s
address |
11 MAIN ST., COLD SPRING, NY, 10516
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
JONATHAN ROUIS |
|
|
HOSPICOM, INC. 401(K) PLAN
|
2019
|
202132662
|
2020-05-18
|
HOSPICOM, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
561490
|
Sponsor’s telephone number |
8452652155
|
Plan sponsor’s
address |
15 MAIN ST, COLD SPRING, NY, 105163211
|
Signature of
Role |
Plan administrator |
Date |
2020-05-18 |
Name of individual signing |
JONATHAN SCHILLER |
|
Role |
Employer/plan sponsor |
Date |
2020-05-18 |
Name of individual signing |
JONATHAN SCHILLER |
|
|
HOSPICOM, INC. DEFINED BENEFIT PLAN
|
2018
|
202132662
|
2019-10-10
|
HOSPICOM, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8452652155
|
Plan sponsor’s
address |
11 MAIN ST., COLD SPRING, NY, 10516
|
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
JONATHAN ROUIS |
|
|
HOSPICOM, INC. 401(K) PLAN
|
2018
|
202132662
|
2019-09-30
|
HOSPICOM, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
561490
|
Sponsor’s telephone number |
8452652155
|
Plan sponsor’s
address |
15 MAIN ST, COLD SPRING, NY, 105163211
|
Signature of
Role |
Plan administrator |
Date |
2019-09-30 |
Name of individual signing |
JONATHAN ROUIS |
|
Role |
Employer/plan sponsor |
Date |
2019-09-30 |
Name of individual signing |
JONATHAN ROUIS |
|
|
HOSPICOM, INC. DEFINED BENEFIT PLAN
|
2017
|
202132662
|
2018-09-18
|
HOSPICOM, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8452652155
|
Plan sponsor’s
address |
11 MAIN ST., COLD SPRING, NY, 10516
|
Signature of
Role |
Plan administrator |
Date |
2018-09-18 |
Name of individual signing |
JONATHAN ROUIS |
|
|
HOSPICOM, INC. 401(K) PLAN
|
2017
|
202132662
|
2018-05-14
|
HOSPICOM, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
561490
|
Sponsor’s telephone number |
8452652155
|
Plan sponsor’s
address |
15 MAIN ST, COLD SPRING, NY, 105163211
|
Signature of
Role |
Plan administrator |
Date |
2018-05-14 |
Name of individual signing |
JONATHAN SCHILLER |
|
Role |
Employer/plan sponsor |
Date |
2018-05-14 |
Name of individual signing |
JONATHAN SCHILLER |
|
|